Sports Health-A Multidisciplinary Approach最新文献

{"title":"Factors Explaining the Severity of Acute Achilles Tendinopathy Among Runners: A Comprehensive Cross-Sectional Analysis.","authors":"Marie-Hélène Lavallée-Bourget, Laurence Roy-Bélanger, María García-Arrabé, Xavier Laurier, Arielle Tougas, Blaise Dubois, Valérie Bélanger, Jean-Sébastien Roy","doi":"10.1177/19417381251324929","DOIUrl":"10.1177/19417381251324929","url":null,"abstract":"<p><strong>Background: </strong>Achilles tendinopathy (AT) is a prevalent musculoskeletal injury among runners, accounting for approximately 10% of all running-related injuries. AT can result in persistent symptoms and impact the quality of life of runners. The Victorian Institute of Sport Assessment questionnaire (VISA-A) is a widely used self-reported tool for assessing severity of AT. However, the anatomic, biomechanical, psychological, and social factors that influence its score are still poorly understood. The aim of this study is to identify the factors that explain the severity of AT based on the VISA-A score in runners experiencing acute AT.</p><p><strong>Hypothesis: </strong>The VISA-A score will be explained by both biological and psychosocial factors.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Level of evidence: </strong>Level 4.</p><p><strong>Methods: </strong>Runners with AT were assessed within 3 months of symptoms onset. The potential explanatory factors assessed included sociodemographic characteristics and medical history, as well as psychosocial, physical, and anatomic (ultrasound imaging) variables.</p><p><strong>Results: </strong>Participants with AT (n = 84) demonstrated moderate impairments, with a mean VISA-A score of 62.8 (SD, 15.1). Three variables emerged as significant factors explaining AT severity: higher level of kinesiophobia and pain catastrophizing, pain during single-leg jumps, and increased cross-sectional Achilles tendon area on ultrasound imaging. These 3 variables had a moderate capacity (<i>R</i>² = 0.47) to explain the VISA-A score.</p><p><strong>Conclusion: </strong>Pain during single-leg jumps, an increased cross-sectional tendon area assessed by ultrasound, and a high score on kinesiophobia and pain catastrophizing questions are associated with higher VISA scores.</p><p><strong>Clinical relevance: </strong>These findings provide the basis for the development of more tailored interventions to improve the quality of life and function of runners with acute AT.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251324929"},"PeriodicalIF":2.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Injuries in the First 3 Years of Premier Rugby Sevens Between Male and Female Players.","authors":"Rachel Sachs, Margaret Gibson, Katherine Henry, Morgan Birrell","doi":"10.1177/19417381251325131","DOIUrl":"10.1177/19417381251325131","url":null,"abstract":"<p><strong>Background: </strong>Premier Rugby Sevens (PR7S) is a new professional rugby league. Our study aims to examine injury data from PR7S over the last 3 years to clarify the incidence of injury per event and determine any trends within injuries to specific body regions related to both sex and year of competition. Understanding these injury patterns will assure relevant player education campaigns related to injury awareness, inform sex-specific injury prevention strategies, and help medical professionals care for athletes more effectively in future competitions.</p><p><strong>Hypothesis: </strong>There will be a difference in injury patterns and data between men and women throughout the last 3 years of data.</p><p><strong>Study design: </strong>Cohort study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>This is a cohort study including the whole population of athletes from PR7S from 2021 to 2023. After each of the 9 events, athletes filled out a postevent injury form in Health Insurance Portability and Accountability Act compliant electronic health record with their team athletic trainer which included name, date of birth, event, injury type, and location of injury.</p><p><strong>Results: </strong>When comparing injury rates year to year, there was a statistically significant increase from 7 to 62 injuries among female athletes (<i>P</i> = 0.004). The number of injuries in male athletes stayed relatively the same. Despite having 432 athletes for both sexes, lower extremity injuries in female athletes have increased each year, whereas male athlete lower extremity injuries have stayed roughly the same throughout the study.</p><p><strong>Conclusion: </strong>There were statistically more injuries in female athletes compared with male athletes.</p><p><strong>Clinical relevance: </strong>These results are similar to other studies including other sports showing increased lower extremity injuries among female athletes compared with male athletes. More research needs to be done to evaluate the causes of increased injuries into to develop prevention strategies in rugby and in other sports.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251325131"},"PeriodicalIF":2.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex Differences in Quadriceps Atrophy After Anterior Cruciate Ligament Tear.","authors":"Meredith K Owen, Kelsey R Casadonte, Nicholas T Thomas, Christine M Latham, Camille R Brightwell, Katherine L Thompson, Gregory S Hawk, Cale A Jacobs, Darren L Johnson, Christopher S Fry, Brian Noehren","doi":"10.1177/19417381241230612","DOIUrl":"10.1177/19417381241230612","url":null,"abstract":"<p><strong>Background: </strong>Female athletes lag behind their male counterparts in recovery from anterior cruciate ligament (ACL) injury. Quadriceps muscle size and strength are crucial factors for regaining function after ACL injury, but little is known about how these metrics vary due to biological sex.</p><p><strong>Hypothesis: </strong>Female patients have reduced vastus lateralis fiber cross-sectional area (CSA) and lower quadriceps strength after ACL injury than male patients.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Level of evidence: </strong>Level 4.</p><p><strong>Methods: </strong>A total of 60 participants with recent ACL tear were evaluated for vastus lateralis muscle fiber CSA, isometric quadriceps peak torque, and quadriceps rate of torque development. Linear mixed models were fit to determine differences across sex and limb for each variable of interest.</p><p><strong>Results: </strong>The female group averaged almost 20% atrophy between limbs (<i>P</i> < 0.01), while the male group averaged just under 4% (<i>P</i> = 0.05). Strength deficits between limbs were comparable between female and male groups.</p><p><strong>Conclusion: </strong>Immediately after ACL injury, female patients have greater between-limb differences in muscle fiber CSA but between-limb strength deficits comparable with those of male patients.</p><p><strong>Clinical relevance: </strong>These results indicate that the underpinnings of strength loss differ based on biological sex, and thus individual patients could benefit from a sex-specific treatment approach to ACL injury.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"236-242"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subjective Causes for Failure to Return to Sport After Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis.","authors":"Katie Yensen, Cory K Mayfield, Ioanna K Bolia, Ryan A Palmer, Michael Brown, Daniel R Kim, Maya S Abu-Zahra, Jacob L Kotlier, Thomas Webb, Emmett Cleary, Nima Saboori, Frank A Petrigliano, Alexander E Weber","doi":"10.1177/19417381241231631","DOIUrl":"10.1177/19417381241231631","url":null,"abstract":"<p><strong>Context: </strong>While current literature has explored the outcomes of athletes who return to sport (RTS) after anterior cruciate ligament (ACL) injuries, less is known about the outcomes of those who are unsuccessful in returning to sport.</p><p><strong>Objective: </strong>To determine the rate of athletes who did not RTS after primary ACL reconstruction (ACLR) and to identify the specific subjective reasons for failure to RTS.</p><p><strong>Data sources: </strong>A comprehensive search of the PubMed/MEDLINE, Scopus, and Web of Science databases was conducted through April 2021.</p><p><strong>Study selection: </strong>Eligible studies included those explicitly reporting the rate of failure for RTS after ACLR as well as providing details on reasons for athletes' inability to return; 31 studies met the inclusion criteria.</p><p><strong>Study design: </strong>Systematic review and meta-analysis.</p><p><strong>Level of evidence: </strong>Level 2 to 4.</p><p><strong>Data extraction: </strong>The reasons for failure to RTS referred to in our study are derived from those established previously in the studies included. Data were collected on the number of athletes, mean age, mean follow-up time, type of sport played, failure to RTS rate, and specific reasons for failure to return.</p><p><strong>Results: </strong>The weighted rate of failure to RTS after ACLR was 25.5% (95% CI, 19.88-31.66). The estimated proportion of psychosocial-related reasons cited for failure to RTS was significantly greater than knee-related reasons for failure RTS (55.4% vs 44.6%, <i>P</i> < 0.01). The most cited reason for failure to RTS was fear of reinjury (33.0%).</p><p><strong>Conclusion: </strong>This study estimates the rate of failure to RTS after ACLR to be 25.5%, with the majority of athletes citing fear of reinjury as the major deterrent for returning to sports. We highlight how factors independent of surgical outcomes may impact an athlete's ability to return to play given that the predominant reason for no RTS after ACLR was unrelated to the knee.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"243-251"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Customized Landing Task for ACL Injury Risk Assessment: Kinematic Sex-Related Differences.","authors":"Claudia Brunetti, Rodrigo Rabello, Federico Adragna, Lucas Silva Zandonato, Alessandro Zucchetti, Filippo Bertozzi, Manuela Galli, Chiarella Sforza","doi":"10.1177/19417381241236893","DOIUrl":"10.1177/19417381241236893","url":null,"abstract":"<p><strong>Background: </strong>Women present a higher anterior cruciate ligament (ACL) injury rate than men, suggesting sex-related biomechanical differences. Task characteristics are often fixed for both sexes, possibly affecting the perceived difficulty. We investigated kinematic sex differences across landing tasks for ACL injury risk assessment, adjusted to participants' anthropometrics/performance, and whether different tasks affect kinematic sex comparisons.</p><p><strong>Hypothesis: </strong>Female subjects would exhibit motion patterns more associated with ACL injury risk, and sex-related differences may depend on task type.</p><p><strong>Study design: </strong>Descriptive laboratory study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>A total of 27 female and 29 male amateur players (18-30 years) executed horizontal hop, drop jump (DJ), and DJ followed by vertical or forward jump (length, proportional to maximal forward jump; box, 20% participant's height). An optoelectronic system provided lower limb kinematics at initial contact and peaks until maximum knee flexion (KF), analyzed separately by multivariate analysis of variance (MANOVA) (α = 0.05).</p><p><strong>Results: </strong>At initial contact, the interaction term had significant effects on hip adduction (<i>P</i> < 0.01) and knee abduction (KAb) (<i>P</i> = 0.04); female participants demonstrated higher KAb (<i>P</i> < 0.01) and knee internal rotation (<i>P</i> = 0.05). For peaks analysis, the interaction term had no significant effects on any individual variable, although significant in MANOVA; female participants had higher KAb (<i>P</i> = 0.01) and lower KF (<i>P</i> = 0.04). Task type affected hip flexion and knee angles in both analyses.</p><p><strong>Conclusion: </strong>All variables in which significant sex-related differences were found are potential ACL injury risk factors, and all findings indicate that the analyzed female sample exhibited higher injury-related patterns. Although customized, male and female participants showed different landing strategies depending on the task.</p><p><strong>Clinical relevance: </strong>The findings underline how female participants adopted potentially harmful kinematics while executing customized landing tasks (adjusted by subject's anthropometrics/performance), which may enhance risk of ACL injury.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"252-261"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Lifting Straps on the Relationship Between Maximum Repetitions to Failure and Lifting Velocity During the Prone Bench Pull Exercise.","authors":"Sergio Miras-Moreno, Amador García-Ramos, Francisco J Rojas-Ruiz, Alejandro Pérez-Castilla","doi":"10.1177/19417381241235163","DOIUrl":"10.1177/19417381241235163","url":null,"abstract":"<p><strong>Background: </strong>Fastest mean (MV_fastest) and peak (PV_fastest) velocity of the set have been proposed to predict the maximum number of repetitions to failure (RTF) during the Smith machine prone bench pull (PBP) exercise.</p><p><strong>Hypothesis: </strong>Goodness-of-fit would be higher for individualized compared with generalized RTF-velocity relationships and comparable for both execution equipment conditions (with or without straps), and the MV_fastest and PV_fastest associated with each RTF would be comparable between execution equipment and prediction methods (multiple- vs 2-point method).</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>After determining the PBP 1-repetition maximum (1RM), 20 resistance-trained male athletes performed 2 sessions randomly, with and without lifting straps, consisting of single sets to failure against the same load sequence (60% to 80% to 70% 1RM). Generalized (pooling data from all subjects) and individualized (separately for each subject using multiple-point or 2-point methods) RTF-velocity relationships were constructed.</p><p><strong>Results: </strong>Individualized RTF-velocity relationships were always stronger than generalized RFT-velocity relationships, but comparable with (MV_fastest: <i>r</i>² = 0.87-0.99]; PV_fastest: <i>r</i>² = 0.88-1.00]) and without (MV_fastest: <i>r</i>² = 0.82-1.00; PV_fastest: <i>r</i>² = 0.89-0.99]) lifting straps. The velocity values associated with each RTF were comparable between execution equipment (<i>P</i> ≥ 0.22), but higher for the multiple-point compared with the 2-point method (<i>P</i> < 0.01).</p><p><strong>Conclusion: </strong>The use of lifting straps during the Smith machine PBP exercise does not affect the goodness-of-fit of the RTF-velocity relationships or the velocity values associated with different RTFs. However, caution should be exercised when using different methods.</p><p><strong>Clinical relevance: </strong>The benefits of the RTF-velocity relationships can be extrapolated when using lifting straps, and the 2-point method can also be used as a quick and more fatigue-free procedure. Nevertheless, it is imperative for coaches to ensure that these relationships are reflective of fatigue experienced during training.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"332-341"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Heat Acclimatization, Heat Acclimation, and Intermittent Heat Training on Maximal Oxygen Uptake.","authors":"Ryan A Dunn, Lauren A Fry, Yasuki Sekiguchi, Courteney L Benjamin, Ciara N Manning, Robert A Huggins, Rebecca L Stearns, Douglas J Casa","doi":"10.1177/19417381241249470","DOIUrl":"10.1177/19417381241249470","url":null,"abstract":"<p><strong>Background: </strong>Maximal oxygen uptake (VO_2max) is an important determinant of endurance performance. Heat acclimation/acclimatization (HA/HAz) elicits improvements in endurance performance. Upon heat exposure reduction, intermittent heat training (IHT) may alleviate HA/HAz adaptation decay; however, corresponding VO_2max responses are unknown.</p><p><strong>Hypothesis: </strong>VO_2max is maintained after HAz/HA; IHT mitigates decrements in aerobic power after HAz/HA.</p><p><strong>Study design: </strong>Interventional study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>A total of 27 male endurance runners (mean ± SD; age, 36 ± 12 years; body mass, 73.03 ± 8.97 kg; height, 178.81 ± 6.39 cm) completed VO_2max testing at 5 timepoints; baseline, post-HAz, post-HA, and weeks 4 and 8 of IHT (IHT₄, IHT₈). After baseline testing, participants completed HAz, preceded by 5 days of HA involving exercise to induce hyperthermia for 60 minutes in the heat (ambient temperature, 39.13 ± 1.37°C; relative humidity, 51.08 ± 8.42%). Participants were assigned randomly to 1 of 3 IHT groups: once-weekly, twice-weekly, or no IHT. Differences in VO_2max, velocity at VO_2max (vVO₂), and maximal heart rate (HR_max) at all 5 timepoints were analyzed using repeated-measure analyses of variance with Bonferroni corrections post hoc.</p><p><strong>Results: </strong>No significant VO_2max or vVO₂ differences were observed between baseline, post-HAz, or post-HA (<i>P</i> = 0.36 and <i>P</i> = 0.09, respectively). No significant group or time effects were identified for VO_2max or vVO₂ at post-HA, IHT₄, and IHT₈ (<i>P</i> = 0.67 and <i>P</i> = 0.21, respectively). Significant HR_max differences were observed between baseline and post-HA tests (<i>P</i> < 0.01). No significant group or time HR_max differences shown for post-HA, IHT₄, and IHT₈ (<i>P</i> = 0.59).</p><p><strong>Conclusion: </strong>VO_2max was not reduced among endurance runners after HA/HAz and IHT potentially due to participants' similar aerobic training status and high aerobic fitness levels.</p><p><strong>Clinical relevance: </strong>HAz/HA and IHT maintain aerobic power in endurance runners, with HAz/HA procuring reductions in HR_max.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"305-311"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Does Physical and Psychological Recovery Vary Among Competitive and Recreational Athletes After Anterior Cruciate Ligament Reconstruction?","authors":"Mandeep Kaur, Terese L Chmielewski, Susan Saliba, Joe Hart","doi":"10.1177/19417381241249413","DOIUrl":"10.1177/19417381241249413","url":null,"abstract":"<p><strong>Background: </strong>The recovery and rehabilitation journey after anterior cruciate ligament reconstruction (ACLR) surgery can be different for competitive and recreational athletes as their motivation and goals toward sports are different.</p><p><strong>Hypothesis: </strong>Competitive athletes would present with better patient-reported outcomes and higher muscle strength compared with recreational athletes postsurgery. Second, competitive athletes would recover better (patient-reported outcome [PRO] measures and muscle strength) compared with recreational athletes at later stages.</p><p><strong>Study design: </strong>Cross-sectional laboratory-based study.</p><p><strong>Level of evidence: </strong>Level 2.</p><p><strong>Methods: </strong>A total of 245 patients with unilateral ACLR were categorized as competitive or recreational athletes and grouped into early (4-6.9 months) or late (7-10 months) stages of recovery. PRO were collected for psychological response (Tampa Scale Kinesiophobia; Anterior Cruciate Ligament-Return to Sport after Injury), perceived knee function (International Knee Documentation Committee subjective form [IKDC]), and quality of life (Knee injury and Osteoarthritis Outcome Score; Veteran Rand-12). Isokinetic, concentric knee extension strength was measured bilaterally with a multimodal dynamometer (System 4, Biodex Medical Systems) at a speed of 90° and 180°/s.</p><p><strong>Results: </strong>Competitive athletes had significantly higher scores for IKDC (<i>P</i> = 0.03), and quadriceps peak torque at 90°/s (<i>P</i> = 0.01) and 180°/s (<i>P</i> < 0.01) compared with recreational athletes. Competitive athletes had higher quadriceps strength at 90°/s (<i>P</i> < 0.01) and 180°/s (<i>P</i> = 0.02) in the late group. Recreational athletes displayed higher sports participation in the late group.</p><p><strong>Conclusion: </strong>Outcomes of ACLR may differ based on preinjury athletic level. Whereas competitive athletes had higher knee and muscle function than recreational athletes, psychological measures were not different among groups.</p><p><strong>Clinical relevance: </strong>There is a need for more individualized care for patients with ACLR since there is variability among patient goals postsurgery. This information might help set realistic expectations for competitive and recreational athletes after surgery.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"272-280"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical Therapy Intervention Effects on Alteration of Spinal Excitability in Patients With Chronic Ankle Instability: A Systematic Review and Meta-analysis.","authors":"Chia-Wei Lin, Amornthep Jankaew, Cheng-Feng Lin","doi":"10.1177/19417381241253248","DOIUrl":"10.1177/19417381241253248","url":null,"abstract":"<p><strong>Context: </strong>Chronic ankle instability (CAI) is a common injury in athletes. Different forms of physical therapy have been applied to the population with CAI to assess their impact on spinal excitability.</p><p><strong>Objective: </strong>The purpose of this systematic review and meta-analysis was to investigate the effectiveness of various physical therapy interventions on the alteration of spinal excitability in patients with CAI.</p><p><strong>Data sources: </strong>Four databases (EMBASE, MEDLINE, Cochrane CENTRAL, and Scopus) were searched from inception to November 2022.</p><p><strong>Study selection: </strong>A total of 253 studies were obtained and screened; 11 studies on the effects of physical therapy intervention on the alteration of spinal excitability in patients with CAI were identified for meta-analysis.</p><p><strong>Study design: </strong>Systematic review and meta-analysis.</p><p><strong>Level of evidence: </strong>Level 3a.</p><p><strong>Data extraction: </strong>A total of 11 studies that included the maximal Hoffmann reflex normalized by the maximal muscle response (H/M ratio) in the peroneus longus and soleus muscles were extracted and summarized. The quality of the studies was assessed using the PEDro scale.</p><p><strong>Results: </strong>The extracted studies had an average PEDro score of 4.7 ± 1.4, indicating that most of them had fair-to-good quality. The physical therapy interventions included cryotherapy, taping, mobilization, proprioceptive training, and dry needling. The overall effects showed that the H/M ratios of the peroneus longus (<i>P</i> = 0.44, <i>I</i>² = 0%) and soleus (<i>P</i> = 0.56,<i>I</i>² = 22%) muscles were not changed by physical therapy in patients with CAI.</p><p><strong>Conclusion: </strong>The meta-analysis indicated that physical therapy interventions such as cryotherapy, taping, mobilization, proprioceptive training, and dry needling do not alter the spinal excitability in patients with CAI. Given that only 1 study reported ineffective changes in spinal excitability with dry needling, more research is essential to establish and validate its efficacy.</p><p><strong>Prospero registration: </strong>CRD42022372998.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"394-403"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex Hormone Profiles and ACL Injury - It's Time for Study Designs to Match the Complexity of the Problem.","authors":"Sandra J Shultz, Laurie Wideman","doi":"10.1177/19417381251319506","DOIUrl":"10.1177/19417381251319506","url":null,"abstract":"","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":"17 2","pages":"223-225"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}